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Cambodian
children drain excess water off from bundles of rice seedlings before
planting them on a rice paddy in Tloak Vieng village, in Kampong Chhnang
province in northwestern of Phnom Penh, Cambodia, Saturday, July 6,
2013.
Heng Sinith/AP
KOMPONG SPEU, Cambodia
For breakfast, it’s rice. For lunch, it’s rice again, and for
dinner – rice. Sometimes, Cambodian Un Koy says, her mother will prepare
some beans or carrots, and on very special days even fish or pork.
Wearing a school uniform dotted with earthy stains, the 8-year-old
runs across the school yard at her remote school, her black, sleek
ponytail bounces as she keeps slipping out of her shoes. At first
glance, Koy looks like most of her 70 classmates. But she has just
failed a simple cognitive test and is about seven inches shorter than
her peers – both because of malnutrition, a result of her simple rice
diet, doctors say.
Across Asia, rice is the most widely consumed staple. That’s especially true in Cambodia,
where it constitutes 70 percent of the rural population’s calorie
intake. For Koy, the rice diet – low in zinc, iron, and vitamins B and D
– has led to underdevelopment, say specialists. Health professionals
say some 1 billion children suffer from similar malnourishment
worldwide.
Now, a team of researchers from the Marseille-based
Institute of Research for Development in Cambodia are close to bringing
that number of malnourished children down by fortifying their staple
diet with nutrients. The IRD team is currently evaluating a survey among
2,500 school children who participated in a pilot free meal project,
substituting their World Food program free meal of rice, with fortified
rice once a day on every school day for breakfast.
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The stakes are high: If the pilot shows the expected results on
learning capabilities and long-term development, IRD’s partners, health
non-profit Path and the World Food Program (WFP), have vowed to use it as a model for developing countries across the world.
“Food
insecurity has become much less of a problem in Southeast Asia in
recent years. But the food people get is lacking quality. So they eat a
lot of rice, which gives them energy, but no nutrients,” says senior IRD
researcher Frank Wieringa, who leads the project.
This directly
affects children's performance in school, according to “Food for
Thought," a report released in April by nonprofit Save the Children.
Globally, malnourished children score 7 percent lower in math tests and
are 19 percent less likely to read at the age of 8. The long-term
disadvantages for the children whose diet leaves them behind can be
devastating, write the authors of the report.
"Children
who are malnourished go on to earn 20 percent less as adults than the
children who are well nourished," with some experts putting that figure
as high as 66 percent, according to Save the Children.
As
malnourished children perform poorly in school and drop out earlier,
they decrease their country's gross domestic product by between 2
percent and 11 percent, which can translate to an impact on the global
economy of up to $125 billion.
The process that could change this
is straightforward and inexpensive, says Mr. Wieringa. "We take rice
flour and add what we need – in principle you can add anything you like.
And then the rice flour is pressed into normal-looking rice grains” and
mixed with conventional rice.
As opposed to the controversial
genetically modified (GMO) rice, fortified rice is not genetically
modified at any time of the process. Normal rice flour is taken and
mixed with selected vitamins and minerals, making it a process of
adding, not engineering.
The fortified rice is then distributed
through WFP’s school-meal program, which currently benefits more than 24
million children worldwide.
“The main aim of the school meals was
to get kids to go to school and make sure they are not hungry, because
that makes it difficult to study. But now, we have learned that it is a
beautiful way to add essential vitamins and minerals to the diet of the
children," says Wieringa.
That the survey shows an improvement in
children’s nutritional state is a given, he says. "But I hope that we
are able to show more; that we improve the functional outcome as well,
like the ability to learn, an impact on their growth,” says Wieringa.
Currently,
the WFP annually spends about $23 to feed one child one meal per day in
a Cambodian school. By spending an extra $0.50 per year on each child,
the organization could have a local factory produce and fortify that
rice and have better results.
Similar projects are already being
conducted in developing countries such as Egypt, Swaziland, and Burundi.
And if the biological survey in Cambodia shows the expected results,
more countries are likely to follow, says Nils Grede, former deputy
chief of WFP’s nutrition and HIV policy department. WFP is discussing
the potential of fortified rice with the governments of India and
Indonesia.
“With close to 1.5 billion people and large public
safety-net programs that give free or subsidized rice to the poor, these
countries would be the real prize,” says Mr. Grede.
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